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Home My WebLink About4340 MAIN STREET ' R . h. ar r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. �`� Parcel Application #o/o's Health Division Date Issued �z^ Conservation Division Application Fee ` Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project St re. Addrelss Village J� Owner - Address Telephone ��, C3d Permit Request I . v U 4o C� ov Square feet: 1 st floor: existing proposed 2nd floor: existing—proposed- Total new ..Zoning District Flood Plain Groundwater Overlay Project Val uatio Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting dbcur�tentation. ra Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) ^J -st Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway❑Y ❑ No cn Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.It) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including bath:3): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Na - t Telephone Number � � Address /V. M&icense # 02: 8 21 c�_, Home Improvement Contractor# � � l Worker's Compensation # ALL ST"UCTIONDSEISRESULTIN FROM HIS PROJECT WILL BETAKEN TO_� ,4>-- I (tod SIGNATURE , DATE 2 r FOR OFFICIAL USE ONLY ti APPLICATION# 2 } " DATE ISSUED F d r MAP/PARCEL NO. i ADDRESS VILLAGE i OWNER DATE OF INSPECTION: w ;FOUNDATION FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 1 ` FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. a 189176 RISE ENGINEERING 5 Dupont Avenue Yarmouth, MA 02664 OWNER AUTHORIZATION FORM 1, I C - A w, "fit C, 10�t Y, I��►� (Owner's Name) owner of the property located at (Property Address) (Property`Address) I hereby authorize I"C111 (Subcontractor) /— an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. This form is only valid with a signed contract. '-Jo-Anne McPanlen(Feb 12.2015) Owner's Signature Date Town of Barnstable Permit ®p� -�"` MIT ExPirnthsn e issu d Re ulato Services Fe UP 13 Thomas F.Geiler,Director rEn rrtA'� , Building Division TABLE Tom Perry,CBO, Building Commissioner TO E 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 3S b 3 3 Property.Address L4.5 �{b �. i S r a.2 t9 5` a�i t_�G v �L-v� Grp Q'Residential Value of Work 0 v Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address —1--& e- `Do 6-'>onu 4 LA to SytQ-cJ Salo q?>Ljd— Ytl"p—<s-vie- Contractor's Name LQ l-_ ��' � Telephone Number -T1 d $` Home Improvement Contractor License#(if applicable) q-1 Construction Supervisor's License#(if applicable) i e ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# �(r 7 z-P 97 T Copy of Insurance Compliance Certificate must accompany each.permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All.construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing.layers of roof) [9-'ke-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC �T BARNSTABLE, # "9: ,� ' .y Town of Barnstable Regulatory Services Thomas F.Geiler,'Director, Building Division Thomas Perry,CBO. Building Commissioner 200 Main Street,' Hyannis,MA 02601 www.toWn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder z I /1/� / %�U� ; as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ,Sig4ature of Owner Date Print Name If Property Owner is applying for permit,please.complete the Homeowners License Exemption Form on,the reverse side. Q:1WPFiLESTORWbuilding permit forms\EXPRESS.doc °ftTti Town of Barnstable P.� °� Regulatory Services BARNSM LE, " Thomas F. Geiler, Director y rrtnss. g' 0. Building Division Tom Perry,Building Commission 200 Main Street, Hyannis,MA 02 1 www.town.barnstable.ma. Office:. 508-862-40 Fax: 508-790-6230 HOMEOWNER LICENSE E MPTION Please Print DATE: JOB LOCATION: number street village , "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town. state zip code The current exemption for"homeowners"was extended in ude owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not assess a license,provided that the owner acts as supervisor. DEFINI OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resi s o ' tends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accesso ' suc se and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a ho owner. S h"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be es onsible for .11 such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibi for compliance with t State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner" certifies that he/ a understands the Town of Barns le Building Department minimum inspection procedures and.requirements and that he/she wi comply with said procedures and re irements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings c taining 15,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeown performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1..1 -Licensing of construction Supervisors); rovided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. j In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. naumrn ccXcnDXA4ZXi,...M;ne,.n'..4fnrmclFYPRFSS_dnc I TOWN OF BARNSTABLE i kBARISTfAM 2 'op 16.39. MASSACHUSETTS OM Solid Fuel Stove Permit DATE OF APPLICATION ....J u.! ..:.........2-..�.............�..� ISSUING PERMIT r. NAME (owner) ... ........... `........ ....................... NAME (Installer) .... C.o.M:5�`.......... :...:....:�..`......�'1. ...... 1 ADDRESS �...............I.1.�l..!�........S.1.:...........C`.'!'�C`'!. .�r DDRESS ...,....................................................................................................................... ..................I......... // pp �*° G S I fu r1L a U ` X STOVE TYPE ...............I�:(...........:............................. .......`!r..4............................ CHIMNEY: NEW .... ........ EXISTING ........................ Manufacturer s' `. ��O `� ��1 CHIMNEY Masonry .................................................... y ........... .......................... . .................................... Mass. Approval ......... ..,I,I.......v..zl?.�:�......1<.?.,,7 ..... CHIMNEY: Metal ................................................................................................... This is to certify that the above installer has permission to in5tall, a solid fuel bur ' g appliance at the listed address in accordance with an application on file with the . ... . . ........... N0 Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Co e and regulations made under the authority thereof. IssuedBy: ....................................................... .............................:.........................................Title ...4/ ' ..:......../ .`....�.."........ Date .� .. �P �......... Permit to install expires 60 days after issue date Stove ................................................... ............................................................................................................................................................................................................................. StoveClearance ........................... ............................................................................................................................................................................................................................................. Floor .................................................. ..................................................................................................................................................................................................................................... SmokePipe ....................................... ............................................................................................................................................................................................................................. SmokePipe Clearance ...... .. ... ... ........................................................................................:............................................................................................................................................... Chimney .............................................. ... ............................................................................................................................................................................................................................................... SmokeDetector ......................... .. .................................................................................................................................................................................................................................................. The undersigned hereby certi es t t t e installation of solid fuel burning stove and equipment made under au- thority of permit dated ...Z. ..... ................ has been made in accordance with provisions th Como} ealth of Massachusetts State Building Code now currently in effect and pertaining thereto ............. . ..... :...........`........�....-- Installer INSTALLATION APPROVED ......... ...��1..... ...... By: ... .................... Titl .' d e � WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT